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Indiana rates for HCPCS 74775

Perineogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.49 / $528.75 / $701.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $211.49 / $265.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.19 / $98.90 / $190.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.90 / $128.32 / $188.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $59.01 / $101.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.09 / $56.74 / $98.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.46 / $138.26 / $467.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $103.05 / $152.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $247.34 / $426.81